HACC Nursing 242 Quiz 1 Exam || 2026 (Actual
Exam) Questions with verified Answers |
FREQUENTLY MOST TESTED QUESTIONS AND
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What are the main goals for the 6 Assessing lochia, fundus, perineum, vs
week period after childbirth? Prevent hemorrhage
Comfort measures
Client education
Promoting family infant bonding
What does BUBBLE HE stand for? B-Breast U-Uterus, B-Bowel, B-Bladder, L-
Lochia/lacerations, E-Emotions
What happens to breasts after birth Estrogen and Progesterone both will decrease
that relate to hormone changes? after birth causing an Increase in Prolactin
Estrogen will decrease causing a decrease in
vaginal lubrication, and increase in diaphoresis and
breast engorgement
Progesterone will increase muscle tone within the
body
Lower Glucose Levels
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When will ovulation occur after a Breastfeeding = occur within 6 weeks
women has had a baby? Bottle Feeding - occur in 25 - 75 days
In relation to hormone changes post 4-6 weeks
birth, when will thyroid function
return to normal?
What does prolactin do? Will maintain and stimulate breast feeding and also
helps to have the baby suckling to maintain that
level
When does milk letdown occur? within 72-96 hours post birth
Will feel tingling and may get a slight fever and may
get engorgement (Swelling of the breast)
What is the frequency of Breast 8 times w/in 24 hrs or every 2-3 hours
feeding? Feed completely off of 1 breast and then switch to
other to ensure baby gets hind milk
Once milk comes in then she will feed according to
babies needs and feed off of both breasts
Goal within 24 hrs post birth is 1 - 2 times
Make sure they are using proper hygene
What are some contradictions for HIV / if nipples are cracked or bleeding (Espically if
women who want to breast feed? they have Hep B or C)
Moms with implants or reductions
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What are some hunger ques of Sucking movement of mouth and tongue
babies? Rooting
smacking of lips
REstlessness
Mouth opening in response to tactile stimulation
Breastfeeding should be initiated w/in 1 hours after
birth
Feed Newborn 8-12 times /24 hrs
Milk Storage Guideline for Breast Room Temp - 4 hrs
milk Insulated Cooler Bag - 24 hrs
Fridge - 72 hours (8 days)
Freezer that is inside fridge door - 2 weeks
Freezer separate door than fridge - 3-6 months
Deep Freezer - 6-12 months
What factors contribute to sore Poor latch
nipples? Yeast infection of breast
Vasospasm - causing blood flow interruption
Not enough of nipple and areola in the mouth
Pinching or biting of the nipple
Mouth not opened wide enough
Nipples not dry enough
Flat or retracted nipples
Ankyloglossia
How do you treat sore nipples? Proper prenatal and early postnatal education
related to breastfeeding
Proper latch
Express colostrum/breastmilk after feeding and
allow to dry
Use of nipple shields to prevent further damage
What are some causes of Mom not feeding baby enough
Engorgement? Infection
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What are some treatment options for Hand hygene
Engorgement? Empty breast during each feeding
Massaging the breast during feeding
Allow the baby to feed until the breast softens, if
baby doesn't empty breast then pump the rest.
Alternate breasts each feeding after the milk
comes in
Engorgement --> cool compresses after feeding
and warm compress before feeding or a warm
shower
What are some S&S of Mastitis? Fever, redness, pain, warm to touch, mom wil have
flu-like sysptoms
Infection of the breast most from staff infection
caused by a clogged duct
Usually occurs on 1 breast
What are some Treatment options for Antibiotics * watch baby to ensure it doesn't get
Mastitis? thrush in the mouth
Wash hands and Breast
If you decide to breast feed, what Wear a well fitting bra (sports bra) for the first three
are some self-care items you will do days
for your breasts? Don't touch the breast and don't let water touch
the breast
Need to apply cold compresses if become
engourged with 15 mins on and 45 mins off
Also can used fresh cold cabbage leaves
Use NSAIDS or anti- inflammatory
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